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Announcements

Special thanks to our AF PARC team Our FOCUS is READINESS!! Building a trauma-focused force – AF PARC

On time, ready to roll each morning and afternoon Sign-in for WORKSHOPS – seats are limited; know yours! Take breaks as needed, but be courteous of the speakers Limit discussions outside the doors to decrease noise FOOD!! Visit the vendors so we can keep the food coming!

Dedicated breakouts/mentorship designed to “Grow the Force” Talk to others; many “opportunities” to excel

1Have a great time, REGARDLESS

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Col Terry MathewsAFMRA17 February 2020

You can’t take over the world if you don’t get out of your cage(a.k.a. State of the World for AF PAs)

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Unveiling the Master Plan

4

=42

The answer to life, universe, and everything is 42

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The Plan in 5 Easy Steps(with 42 subparts)

Directed mentoring for promotability Assigned senior PA mentors

Directed assignments Developing leadership opportunities

Provide venue for effective communication Silverbacks/JAB/Specialties

Expanded CMRP skills More focused on performance and future mission

Enhance trauma and critical care medicine Develop C-STARS

5Are you pondering what I’m pondering?

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ORGANIZATION Silverbacks – the Corporate Advisory Board Senior leaders to provide counsel for career field direction

and development of the force Mentorship for leadership opportunities

Junior Advisory Board – originally CGOs under 36mo as a PA PAs “in the trenches” Open to JAB to decide board make-up/number Special Projects and Research

PA Specialty Consultants Leaders in all areas with a PA footprint Provides focus and guidance

6If they don’t do what you say, try and take over the world

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Corporate Advisory Board(i.e., Meet “the Silverbacks”)

COL MJ ELLIS LTC BARB “ACE” ACEVEDO LTC(s) MATT ADKINS LTC KEN BARON LTC KEN BEADLE LTC(s) DAVID BEUTLER LTC SCOTT BROWN LTC JACKIE BVLGARI LTC BRUCE CALLAHAN LTC SCOTT CARBAUGH LTC MARSHALL FISCUS LTC(S) JULIE GLOVER LTC STEVE GRIEP LTC DEBRA KARRER LTC SAMANTHA KELPIS LTC ROB NIEWOONDER

7

LTC(s) MIKE RABNER LTC TOMAO ROSE LTC(s) LLOYD SCHARFENSTINE LTC(s) JIMMY STANLEY LTC RANDY STEVENS LTC LEO TATO LTC(s) JUSTIN KANDLE LTC ANGELA OKROI LTC JAMILA PETTERSON LTC WILL SCHULTZ LTC(s) NORM ZELLERS ARC MEMBERS

COL ARI FISHER (AFR) COL SEAN BRENNAN (ANG) COL MIKE SHIPP (ANG)

If they don’t do what you say, try and take over the world

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Junior Advisory Board(i.e., Meet “the JAB”) Capt Shaun Saunders (Prez) Capt Millard Storms Capt Lauren Foy Capt Lindsay Johnston Capt Billy Atherton Capt Patrick Thomas Capt Lisa Paulson Capt Melissa Vanartsdalen Capt Scott Moore 1LT Amber Tordoff Capt Sadie Savage Capt Charity Bailey Capt Sammy Leos Capt Lee Paschen

8Whatever the problem, be part of the solution

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Specialty Leads Family Medicine Lt Col Sam Kelpis PRAP/Clinical Flt Med Maj Alisha Florence Orthopedic Surgery Lt Col Will Schultz ENT Lt Col Barbara Acevedo General Surgery Maj Tony Smith/Maj Bryan Johnson Emergency Medicine Maj Julie Glover Operational Medicine Lt Col Ken Beadle/Lt Col Rob Niewoonder RD&A // Psychiatry Maj Rodney Ho/Maj Dave Panboon IPAP/Instructors Lt Col Jackie Bvlgari PostGrad Education Maj Lance Camacho AFR/ANG Col Ari Fisher/Col Mike Shipp/Col Sean Brennan

9Whatever the problem, be part of the solution

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Career Directed Assignments

10The real reason you got that assignment

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Career Directed Assignments Airman Development Plan – ADP We continue to use the ADP due to Free-Text fields Your ability to communicate desires directly to us Talent Marketplace improving but still with errors

Silverback mentoring Provides synapsis of your career and future jobs Potential for leadership Strengths and weaknesses

Specialty Consultants Provides interview for any HPERB opportunity Racks applicants based on potential to compete against

other BSC

11Consultants consult; AFPC makes assignments

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Health Professions Education Review Board - HPERB On Track Orthopedic Surgery WP, Travis, SAMMC

General Surgery SAMMC, future site pending

Emergency Medicine Nellis, SAMMC

Research Ft Detrick, future site pending

Operational Hurlburt Field

12Feel the Force, Luke

Future Education IPAP

Psychiatry WHASC

Paused Otolaryngology

Look For: Readiness BSC AFPC

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Full Spectrum Readiness

13SIEMPER GUMBY

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Full Spectrum Readiness

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CMRP Evolution

Comprehensive Medical Readiness Program (CMRP) Evolution Expeditionary Scope of Practice (ESP) Knowledge, Skills, and Abilities (KSAs) Training Sources

Improving access to data CMRP Performance “Task Analysis” Tool Clinical Performance for Readiness (CPR) Dashboard Workload Capture Tools & Process

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Cat III:

UTC

Training

Category II:Readiness Skills Training

Category I: 

Clinical Currency for Readiness

Comprehensive Medical Readiness Program (CMRP)

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UTC

AFSC-specific training which allows an Airman to perform within the full scope of their specialty in a deployed environment

Fundamental clinical training that forms a foundation on

which to build readiness skills

Platform-specific training

CMRP is Tracked in MRDSS; Reported in DRRS

CMRP Informs Readiness to Accomplish Mission Essential Tasks (METs)

METs Enable Ability to Accomplish Mission Capability Areas Specified in NDAA 17 Sec 725 

UJTLAFMS METs 

Nested in Uniform Joint Task List

DRR

SReported in the Defense Readiness Reporting System

AFMSReady 

Medical     Force

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CMRP Requirements & Performance

Knowledge vs Performance Meaningful & Measurable Clinical Performance for Readiness

Implementation Guidance CMRP Task Analysis Tool

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Deployments and CMRP Updates

Future conflicts Peer to near-peer Air superiority questionable ATHs are back

Deployment training changes Role 1/Role 2 and CCPs Inpatient Critical Care Everyone’s a surgeon TCCC

18SIEMPER GUMBY

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CMRP Updates CMRP Cat-1 Requirements – all uniformed PAs Obtain and Maintain NCCPA Certification BLS Your clinical practice AF PARC or 7 key lectures Tele-Health Procedures Uncommon Disease and Illness Eval/Tx TBI Eval/Tx PTSD Tactical/Aeromedical Evac Environmental Injury Tx Common DNBI

19Whatever the problem, be part of the solution

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CMRP Updates CMRP Cat-2 Requirements Additional Certifications Advanced Life Support/ACLS Advanced Burn Life Support Advanced Trauma Life Support

Emergency Medicine PAs Only Pediatric Advanced Life Support

20Whatever the problem, be part of the solution

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CMRP Updates CMRP Cat-2 Requirements (42G3, B, N, P) Advanced Deployment Skills Musculoskeletal Trauma (above TCCC rqmts) AF PARC/C-STARS

Urgent/Emergent AND Inpatient (separate rqmts) C-STARS

Field Dentistry Local Dental Clinic rotations

eFAST U/S, Field Stabilization, and Pain Control Walking Blood Bank

21Growth and comfort cannot coexist

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CMRP Updates CMRP Cat-2 Requirements (42G3A/C/E) Operative Procedures (A/C) 144hrs/yr

Critical Care Procedures (C/E) Specific items

Advanced Ortho Mngt (42G3A) Specific items

Advanced Surgical Mngt (42G3C) Specific items

Advanced Airway Mngt (42G3E) Specific items

22Whatever the problem, be part of the solution

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BSC - Biomedical Sciences Corps

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Sustainment InventoryPP Core(SPM) 2,113 2,188STP +121 +188IR +33 +20Total 2,267 2,396Inv vs. Sustainment Rqmt 105%

Permanent Party BSC 2,188 BSCs in Other Billets -52 Other AFSs in BSC Billets +26Current PP Inv by Duty AFSC 2,162FY19 PP Auths 2,419Current Manning 89%Project Auth Change by FY24 -31PERSTEMPO: % TDY 10%

CY Target Actual CrossFlowCY17: 202 N/A N/ACY18: 202 N/A N/ACY19: 202 178 N/A

Grade Authorizations PP Sustainment Core InventoryO-1 / O-2 14% 11% 12%

O-3 36% 38% 35%O-4 32% 35% 33%O-5 16% 14% 16%O-6 3% 2% 4%

FYDP Sustainment Rqmt vs. Current Inventory

Accession Targets and Actuals

Stress Metrics

Grade Structure - FY 19

0

50

100

150

200

250

Commissioned Year Group

BSC - Biomedical Sciences CorpsCareer Field Health as of 31 Jul 2019

FY Accessions

Sustainment RequirementPP, STP, & IR Auths (2267)

Funded Auths

Core Inv with ≤ 8yr PS

Core Inv with > 8yr PS

Retirement eligible at EoFY

Accession Targets; blue = goal, green = ±10% of goal, yellow=±20% of goal

AFMS- Not Fully Qualified

FY Accessions

Completed Commissioned Yrs of Service (CYOS)

5 10 15

20

BSC - Biomedical Sciences CorpsCareer Field Health as of 31 Jul 2019

FY AccessionsFY Accessions

Completed Commissioned Yrs of Service (CYOS)

5 10 15

20

0%

25%

50%

75%

100%

2014 2015 2016 2017 2018

Retention

0-10 CYOS

11-20 CYOS

20+ CYOS

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42G - Physician Assistant

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Sustainment InventoryPP Core(SPM) 420 386STP +34 +47IR +10 +1Total 464 434Inv vs. Sustainment Rqmt 93%

Permanent Party 42G 386 42Gs in Other Billets -14 Other AFSs in 42G Billets +4Current PP Inv by Duty AFSC 376FY19 PP Auths 419Current Manning 90%Project Auth Change by FY24 +2PERSTEMPO: % TDY 11%

CY Target Actual CrossFlowCY17: 0 N/A N/ACY18: 0 N/A N/ACY19: 0 33 N/A

Grade Authorizations PP Sustainment Core InventoryO-1 / O-2 28% 20% 21%

O-3 45% 42% 43%O-4 24% 35% 32%O-5 3% 2% 4%O-6 0% 0% 0%

FYDP Sustainment Rqmt vs. Current Inventory

Accession Targets and Actuals

Stress Metrics

Grade Structure - FY 19

0

10

20

30

40

50

60

70

Commissioned Year Group

42G - Physician AssistantCareer Field Health as of 31 Jul 2019

FY Accessions

Sustainment RequirementPP, STP, & IR Auths (464)

Funded Auths

Core Inv with ≤ 8yr PS

Core Inv with > 8yr PS

Retirement eligible at EoFY

Accession Targets; blue = goal, green = ±10% of goal, yellow=±20% of goal

AFMS- Not Fully Qualified

FY Accessions

Completed Commissioned Yrs of Service (CYOS)

5 10 15

20

42G - Physician AssistantCareer Field Health as of 31 Jul 2019

FY AccessionsFY Accessions

Completed Commissioned Yrs of Service (CYOS)

5 10 15

20

0%

25%

50%

75%

100%

2014 2015 2016 2017 2018

Retention

0-10 CYOS

11-20 CYOS

20+ CYOS

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Wins and Losses Highest number Lt Cols EVER – 27 current “P” shred for “Aerospace/Operational Medicine” PAs Full Flight Med privileges w/ METLS Flight orders as crew/Profile Office

IPAP enhanced staffing New Phase 2 Site – WP, others under review Increased/expanded HPERB opportunities Retention improved/new 6-yr Retention Bonus C-STARS staff positions; increased opportunities to attend Research and Battlefield Airman positions AFSOC/JSOC team leads Increases Central Funding from 75 to 150 seats JAB and mentoring matures Psychiatry may be back! Collaboration not Supervision Ramp Process

25Win some, lose some, as long as you win more

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Wins and Losses Loss of ENT platform/fellowship Limited applications for fellowships Stiff competition against other BSC for seats Impact of 6-yr Bonus

Loss of full Family Medicine practice at many locations Loss of Offutt as a Phase 2 training site

26Win some, lose some, as long as you win more

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42G Master Plan

Current 42Gs

Supported Objectives

Directed mentoring for promotability

Align 42G capabilities w/ FSR

5

1

Optimize 42Gs to 

propel AFMS future state

Drive AFMS Transformation

Enhance 42G Joint Warrior Development

2

3

4

5

Develop 42G leadership opportunities

Enhance 42G trauma and critical care

42Gs achieve Full Spectrum Readiness

A

B

C

Desired Conditions

C

B

A

42Gs positioned for Joint Medical Teams

42Gs lead Flight/Operational Medicine

3

2

2

Ensure effective communication

Expand 42G CMRP skills

1 3 4

1

1

4

3 5

The “Master Plan” expanded

5

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Future State

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Why We Serve…Common Purpose

Medically Ready Force…Ready Medical Force

MTFs are readiness training platforms...saving lives down range

We serve, so others may live

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Questions?